Level of analysis issues in assessing treatment beliefs in substance abuse clinics.
Level of analysis issues in assessing treatment beliefs in substance abuse clinics.
复制标题
评估药物滥用诊所治疗信念的分析水平问题。
DOI：
10.1016/j.addbeh.2007.04.021
复制
发表时间：
2007
影响因子：
4.4
通讯作者：
Agius,Elizabeth
中科院分区：
文献类型：
--
作者：
Mitchelson,JacquelineK;Dickson,MarcusW;Arfken,CynthiaL;Agius,Elizabeth
目前的研究将组织科学中关于分析问题水平的日益增长的文献应用于药物滥用治疗信念的分析。关于临床医生对药物滥用治疗的信念的研究通常基于这样的假设，即临床医生在诊所内充分分享信念，并且在诊所之间有足够的差异，因此可以将其视为群体层面的现象。此外，引入新创新的努力往往集中在小组或诊所层面，而没有测试这一假设，这可能导致无法采用或成功实施创新。我们通过检查在诊所、诊所组或临床医生组内是否对治疗信念有足够的共识来证明将这些群体视为有意义的群体，从而测试了共享性的假设。使用三种统计方法来检查分析水平（内部和之间分析（WABA I），类内相关系数（ICC(1)）和rwg），我们发现治疗信念的可变性主要发生在个体而不是在测试的总体分析水平上。这些发现作为一个例子，证明了在未来的研究中检验共同认知假设的重要性。
The current study applies the growing literature in the organizational sciences regarding levels of analysis issues to the analysis of substance abuse treatment beliefs. Research on clinicians' beliefs in substance abuse treatment is often based on the assumption that the beliefs are sufficiently shared by clinicians within a clinic and sufficiently vary across clinics that they can be treated as a group-level phenomenon. Further, efforts to introduce new innovations are often focused at the group or clinic level without testing this assumption, which can lead to failure to adopt or to successfully implement the innovation. We tested the assumption of sharedness by examining if there was sufficient agreement about treatment beliefs within clinics, within groups of clinics or within groups of clinicians to justify treating these aggregations as meaningful groups. Using three statistical approaches to examining level of analysis (Within and Between Analysis (WABA I), Intraclass Correlation Coefficients (ICC(1)), and rwg), we found that variability in treatment beliefs largely occurred at the individual rather than at the tested aggregate levels of analysis. These findings serve as an example of the importance of testing the assumption of shared perceptions in future research.